New framework to classify abortion-related adverse events

Abortion is a common and safe procedure, yet there has been little standardization of how to classify incidents related to patient safety. Abortion clinicians and researchers need a system that differentiates between adverse events due to clinical care and morbidities related to pregnancy, the abortion process or other non-abortion-related conditions. The Procedural Abortion Incident Reporting and Surveillance (PAIRS) Framework, published by ANSIRH’s Diana Taylor and colleagues in Contraception, provides a comprehensive, evidence-based classification framework for monitoring the quality and safety in abortion care.

The PAIRS Framework applies standard criteria and metrics that include diagnosis, management, timing, seriousness and outcome. The framework was validated by a study of 20,000 patients in the Health Workforce Pilot Project (HWPP) and allows for evidence-based comparisons between abortion care and other common, low-risk, ambulatory procedures. The PAIRS Framework can be used in all health care settings, including primary care clinics. This system can help to standardize incidence rate reporting terminology, allow health care providers to anticipate morbidity, prevent adverse events and enhance abortion quality.

PAIRS Framework flow chart

PAIRS Framework flow chart

Summary cross-posted from ANSIRH.

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